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Using World Health Organization Disability Assessment Schedule 2.0 in people with schizophrenia: a 4-year follow-up

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Abstract

Little is known about the changes of people with schizophrenia disability in Taiwan who receive routine treatments under the current mental healthcare system. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) was used to assess and track changes in the degree of disability in people with schizophrenia before and after 4 years of follow-up. Data on 4497 people with schizophrenia were acquired from the Taiwan Data Bank of Persons with Disability. The WHODAS 2.0 was used for disability assessment, and the chi-square test, logistic regression and generalised estimating equations were adopted for statistical analysis. People with schizophrenia exhibited improvement in cognition, mobility and participation among the six domains as well as in the overall score. The degree of disability in all domains remained mild to moderate among people aged 18–64 years; the degree of disability in cognition declined from moderate to severe among patients aged ≥65 years. The degree of disability in all domains remained mild to moderate among people with mild to moderate impairment; among those with severe impairment, the degree of disability in the domains of cognition and life activities declined from moderate to severe and the degree of disability in the domain of mobility declined from mild to moderate. Community-dwelling patients exhibited less degree of disability in all domains than their institutionalised peers. Early detection and treatment and an emphasis on communication and social problem-solving skills in rehabilitation programmes are recommended for people with schizophrenia.

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Acknowledgements

We thank Hui-Han Lin for the assistance in data analysis in this study.

Funding

This study was supported by the Ministry of Health and Welfare, Taiwan (Grant Nos. M03F4037, M04F4027, M05F5044, M06F4035 and M07F5193).

Author information

Correspondence to Wen-Chou Chi or Kuei-Ru Chou.

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Conflict of interest

The authors declare that they have no competing interests.

Ethical approval

Joint Institutional Review Board of Taipei Medical University (N201805048).

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Cite this article

Chen, R., Liou, T., Miao, N. et al. Using World Health Organization Disability Assessment Schedule 2.0 in people with schizophrenia: a 4-year follow-up. Eur Arch Psychiatry Clin Neurosci (2019) doi:10.1007/s00406-019-01000-5

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Keywords

  • Schizophrenia
  • WHODAS 2.0
  • Follow-up
  • National mental healthcare system